| NPI | 1215671193 |
|---|---|
| Doing Business As | DR. MEAD & DR. HOUSTON DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ERICA HOUSTON Dentist 928-486-0628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-04-26 |